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复原力对慢性健康问题青少年健康相关生活质量的影响:结构方程法
Author(s) -
Kim Mijin,
Kim Kyunghee,
Kim JiSu
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13888
Subject(s) - coping (psychology) , quality of life (healthcare) , distress , social support , psychological resilience , structural equation modeling , medicine , clinical psychology , psychology , chronic disease , gerontology , social psychology , nursing , family medicine , statistics , mathematics
Aim The aim of this study was to test the impact of resilience on the health‐related quality of life among adolescents with a chronic health problem, we established a structural model to explain patients’ health‐related quality of life. Background There are various resilience‐related factors with major effects on the health‐related quality of life among adolescents with a chronic disease; however, little is known about relationships among resilience, these influencing factors and direct and indirect effects of health‐related quality of life among adolescents with a chronic health problem. Design This study adopted a cross‐sectional, descriptive correlational design. Methods Participants were 220 adolescents with a chronic disease who were aged between 10 and 18 years and currently receiving treatment at a hospital or clinic for least 6 months from February to October 2017 in Korea. Results This study verifies that hope and courageous coping had direct effects on the resilience of adolescents with a chronic health problem and the level of direct effects on health‐related quality of life was in the following order: hope, resilience and courageous coping. In addition, illness‐related distress, social support, hope and defensive coping had indirect effects on resilience and the level of indirect effects on health‐related quality of life was in the following order: illness‐related distress, social support, defensive coping, hope and courageous coping. Conclusion Resilience is a major factor that improves health‐related quality of life among adolescents with a chronic health problem. In consideration of the direct and indirect paths verified through this study, it is necessary to develop interventions to improve health‐related quality of life among adolescents with a chronic health problem.